register for music lessons & classes

Student Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone

(###)

###

####

Secondary Phone (Work/Mobile)

(###)

###

####

Name of Contact

First Name

Last Name

Phone

(###)

###

####

What instrument are you interested in?

Please select all that apply.

Piano

Voice

Guitar / Ukulele

Bass

Drums

Saxophone

Clarinet

Trumpet

Trombone

Flute

Violin

Viola

Cello

Accordion

Musical Theatre

Preferred lesson location

Online (Zoom, FaceTime or Skype)

In-Home

I have read NUVO's policies regarding missed lessons, make-up lessons & yearly recital fee.

Yes

Students are occasionally photographed or videotaped for NUVO Music School marketing materials. I hereby allow permission to use my child's image on the NUVO Music School website and social media.

Yes, media related to the above student(s) can be used online.

Parent / Guardian's Name

Your name serves as your understanding of the policies and agrees to the conditions on the 'policies' section of our Information page.

First Name

Last Name

Date

MM

DD

YYYY